DERONNA S MOORE (NPI# 1487067534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487067534 |
Entity Type | Individual |
Full Name | DERONNA S MOORE |
Credential | PA |
Practice Address |
210 E Economy Rd Morristown TN 37814-3756 |
Practice Telephone | 4233071468 |
Mailing Telephone | 4233071468 |
Enumeration Date | 2014-06-06 |
Last Update Date | 2016-03-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 1903 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363A00000X | Physician Assistant | 2543 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
210 E ECONOMY RD |
City | MORRISTOWN |
State | TN |
Zip Code | 37814-3756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629049796 | Martha M Anderson | Registered Nurse | 210 E Economy Rd, Morristown, TN 37814-3756 | 2006-01-27 |
1003391129 | Sarah Katelyn Brooks | Physician Assistant | 210 E Economy Rd, Morristown, TN 37814-3756 | 2018-09-25 |
1992152144 | Krystal Elizabeth Weaver | Physician Assistant | 210 E Economy Rd, Morristown, TN 37814-3756 | 2016-05-18 |
1427486018 | Joel Hayes | Physician Assistant | 210 E Economy Rd, Morristown, TN 37814-3756 | 2013-10-17 |
1821355454 | Corey Lewis | Physician Assistant | 210 E Economy Rd, Morristown, TN 37814-3756 | 2012-04-20 |
1669493433 | Hector L Vega | Family Medicine | 210 E Economy Rd, Morristown, TN 37814 | 2006-07-21 |
1740207760 | Andrew Townsend | Pediatrics | 210 E Economy Rd, Morristown, TN 37814 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
Find all providers in zip 37814 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629584917 | Bradley Allen Irvin | Physician Assistant | 4185 Willow Way, Morristown, TN 37814-1611 | 2017-12-21 |
1831619592 | Meghan Mary Nilan | Physician Assistant | 131 Madison Ave Ste 2, Morristown, NJ 07960-7360 | 2017-06-23 |
1417348426 | Katherine Eleanor Walton | Physician Assistant | 1434 Monroe St, Morristown, TN 37814-3033 | 2015-02-12 |
1235563099 | Andrew Somerville | Physician Assistant | 2 Tikvah Way, Morristown, NJ 07960-3651 | 2013-08-29 |
1588006969 | Jenna Stephanie Giannelli | Physician Assistant | 435 South St Ste 370, Morristown, NJ 07960-6480 | 2013-07-25 |
1750563631 | George Trion Lawless | Physician Assistant | 5932 Commerce Blvd, Carehere, Morristown, TN 37814-1051 | 2007-12-03 |
1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
1609976984 | David Farag | Physician Assistant | 182 South Street, Suite 1, Morristown, NJ 07960-5350 | 2006-09-25 |
1427092691 | Cheryl Boss | Physician Assistant | Morristown Memorial Hospital, 100 Madison Avenue, Morristown, NJ 07960 | 2006-06-16 |
1124079017 | Mark W Ingram | Physician Assistant | 908 West North 4th St, Morristown, TN 37813 | 2006-05-15 |
Find all providers in MORRISTOWN |
City | MORRISTOWN |
Zip Code | 37814 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.